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but are associated with exceeding Milan criteria for patients with a single suspected lesion. The presence of TIPS may alter the sensitivity of imaging and necessitate a higher index of suspicion. To evaluate whether the coronavirus disease 2019 has increased anxiety, depression, and distress levels in head and neck cancer (HNC) patients undergoing radiotherapy (RT). In this cross-sectional study, RT-HNC patients were surveyed using the Hospital Anxiety and Depression Scale (HADS) for anxiety and depression and the distress thermometer